Martinez, Stephanie Gentry

Martinez, Stephanie Gentry is an individual health care provider with primary practice located at 1024 North Blvd Ste 208 , Oak Park IL 60301-1149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Martinez, Stephanie Gentry can be contacted via phone (708) 386-4292.

Contact Information

Primary practice address
1024 North Blvd Ste 208 Oak Park IL 60301-1149
Fax: (708) 848-4886
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209.018154 Illinois

Profile Details

NPI number 1912476813
LBN Legal business name Martinez, Stephanie Gentry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2018
Last updated Dec 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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